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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000176

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of VictorFrancis Sex Male

Date of Birth May 21, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Luke Francis MAIDEN NAME of Mother Ethel Wallace

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Garrison Grounds, Block 1, Halifax Present address of Father 26 Lawrence St. Halifax

Occupation of Father at Birth of child Fireman Place of birth of Father England

Race English Name and present address of Physician in attendance at birth Dr. Armstrong - deceased

Signature of Applicant L Francis Address of Applicant 26 Lawrence St. Halifax Date April 17, 1952

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of VictorFrancis

Born at Halifax in the County of Halifax

That VictorFrancis Whose Birth is sought to be registered was

born at Halifax Halifax County on May 21, 1920

My knowledge of the fact and date of such Birth is based on the following Circumstances:

Present at Birth. I am the Father of Victor Francis

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